Usefulness of primary angioplasty in nonagenarians with acute myocardial infarction

Gian Battista Danzi, Marco Centola, Guido A. Pomidossi, Dario Consonni, Sara De Matteis, Amerigo Stabile, Marco Sesana, Angelo Anzuini, Paolo Sganzerla, Bernardo Cortese, Angela Migliorini, David Antoniucci

Research output: Contribution to journalArticle

Abstract

The optimal reperfusion strategy in very elderly patients with ST-segment elevation myocardial infarction is still a subject of debate. The aim of this multicenter study was to determine the medium-term outcomes of nonagenarians after primary percutaneous intervention for ST-segment elevation myocardial infarction. A systematic review of the databases of 7 Italian centers showed that these had performed 5,023 primary angioplasties over the previous 5 years, 100 of which (2%) involved patients ≥90 years old. Thirty-five subjects were in Killip class III or IV at time of presentation, 78 had multivessel coronary artery disease, and mean ejection fraction was 0.40 ± 0.12%. In-hospital mortality was 19% and was significantly higher in patients with shock (58% vs 10%, p

Original languageEnglish
Pages (from-to)770-773
Number of pages4
JournalThe American Journal of Cardiology
Volume106
Issue number6
DOIs
Publication statusPublished - Sep 15 2010

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Medicine(all)

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    Danzi, G. B., Centola, M., Pomidossi, G. A., Consonni, D., De Matteis, S., Stabile, A., Sesana, M., Anzuini, A., Sganzerla, P., Cortese, B., Migliorini, A., & Antoniucci, D. (2010). Usefulness of primary angioplasty in nonagenarians with acute myocardial infarction. The American Journal of Cardiology, 106(6), 770-773. https://doi.org/10.1016/j.amjcard.2010.04.041